Individual
HILLIARD EARL JORDAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
134 E MARIPOSA DR, SAN ANTONIO, TX 78212-1766
(210) 410-0720
Mailing address
134 E MARIPOSA DR, SAN ANTONIO, TX 78212-1766
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
E5802
TX
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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